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Codeine Substance Concentration in Serum/Plasma (24-Hour Total Mass)

Published: August 9, 2026Updated: August 16, 2026

This test measures the total amount of codeine, a pain reliever, in your blood over a 24-hour period. Codeine is often used to treat moderate pain and can also help with coughing.

Quick summary

["Your doctor may check codeine levels to monitor pain management or detect potential drug interactions."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
27311-0
Short code
Codeine Free Stl-mCnt
Synonyms
Codeine Free Stl-mCnt
Category
chemistry
Sample
stool
Container
Clean container
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Specimen volume
5 g
Stability
Refrigerated: 24h, Frozen: 7d
TAT
4–24 hours
Order
routine

Why This Test Might Be Ordered

Your healthcare provider may recommend this test if you’re taking codeine for pain relief, if you have concerns about how your body processes the medication, or if you’re experiencing side effects like drowsiness, nausea, or slowed breathing. It can also help ensure the medication is working as intended or if you need adjustments to your dose.

What to Expect Before the Test

No special preparation is needed for this test. You’ll have a small needle inserted into your arm or vein to draw blood. It usually takes a few minutes, and you may feel a slight pinch. If you’re on blood thinners or have a history of bleeding issues, let your doctor know before the test.

What the Test Results Mean

The test measures the total amount of codeine in your blood over 24 hours, which includes both the drug itself and any metabolites (chemicals your body produces when breaking down codeine). High levels might indicate improper metabolism, overdose risk, or drug interactions. Low levels could suggest the medication isn’t working as expected.

Possible Side Effects or Risks

While rare, blood tests carry a small risk of bruising, pain, or infection at the injection site. If you experience excessive bleeding, swelling, or signs of infection (like redness or fever), contact your doctor immediately.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Monitoring codeine levels is important for patients with liver or kidney issues, as these organs help break down the drug. It can also help identify risks of addiction, overdose, or drug interactions with other medications (e.g., alcohol, other opioids). Doctors may use these results to adjust doses or recommend safer alternatives if needed.

Short name

Codeine Level (Total)

Frequently asked questions

How often should I get this test?
The frequency depends on your medical needs. Your doctor may order it only once if you’re newly prescribed codeine or if you have specific concerns. If you’re on long-term codeine therapy, they might check levels periodically, especially if you’re taking other medications or have health conditions that affect drug processing.
What if my results are too high?
High codeine levels could signal overdose risks, improper metabolism, or interactions with other drugs. Your doctor may reduce your dose, switch to a different medication, or monitor you closely for side effects like confusion, slow breathing, or severe drowsiness. Never adjust your dose yourself—always follow your doctor’s instructions.
Can I drink alcohol while taking codeine?
No. Alcohol can increase the risk of side effects like drowsiness, dizziness, or liver damage. It may also slow how quickly your body breaks down codeine, raising the risk of overdose. Always ask your doctor about safe alternatives if you’re concerned about drinking.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy